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目的探讨老年肺炎的临床特点及诊治。方法分析2004年6月~2005年6月在本科住院的40例老年肺炎患者临床样本。结果既往有心、肺及神经系统等基础疾病及高龄者发病多,发病以冬春寒冷季节为多。临床症状:发热(22例),咳嗽(30例),咳痰(25例),呼吸困难(20例),出现神经系统症状(12例)、消化系统症状(28例)。双肺CT及X线胸片检查以支气管肺炎改变多见(26例)。结论咳嗽、咳痰、呼吸困难及肺部呼吸音的改变是老年肺炎的主要临床表现,高热不明显,神经系统、消化系统等非特异的临床表现多见。
Objective To investigate the clinical features and diagnosis and treatment of senile pneumonia. Methods Clinical data of 40 elderly patients with pneumonia who were hospitalized from June 2004 to June 2005 were analyzed. Results Past heart, lung and nervous system and other basic diseases and elderly incidence, incidence of winter and spring are more cold season. Clinical symptoms: fever (22 cases), cough (30 cases), sputum (25 cases), dyspnea (20 cases), nervous system symptoms (12 cases) and digestive system symptoms (28 cases). Double lung CT and X-ray examination to change more common in bronchial pneumonia (26 cases). Conclusions The changes of cough, sputum, dyspnea and lung breath sounds are the main clinical manifestations of senile pneumonia. The high fever is not obvious, and the nonspecific clinical manifestations such as nervous system and digestive system are common.